Conducts comprehensive case management activities designed to support and facilitate client access to health and other appropriate services.
ESSENTIAL FUNCTIONS AND DUTIES:
Conduct and completes intake and appropriate assessments
Develop and implement appropriate client care plans. Review and revise care plan quarterly.
Make appropriate referrals for services as needed or indicated based upon client's care plan. Follow-up on referral to assure completion of service.
Conduct home visits according to the Maternal and Child Health (MCH) service code.
Conduct appropriate Face to Face follow-ups according to the Maternal and Child Health (MCH) service code.
When identified, refer high risk clients to Quality Assurance Nurse for referral to High Risk Case Management program.
Provide clients with medical transportation assistance when appropriate.
Provide clients with Health Education materials during follow-ups or as appropriate.
Conduct proper case closure. According to the Maternal and Child Health (MCH) service code this should include, as appropriate for the client: PCP is in place and care is continuing; WIC is in progress; Immunizations are up to date; Medical insurance is in place.
Document all case management activities (home visits, follow-ups, referrals, services- immunizations, EPSDT visits, prenatal visits, transportation, etc.) utilizing the Cornerstone Information System in a timely manner. Maintain all other required documentation related to the case management process (consents, developmental screenings, etc).
Attends and participates in regular programmatic, departmental and agency staff meetings and trainings.
Associates degree required.
MINIMUM WORK EXPERIENCE:
Minimum of 1 to 3 years experience in health, social or human service or community based setting.
KNOWLEDGE, SKILLS & ABILITIES:
Must have strong organizational skills.
Excellent oral and written communication skills required.
Schwab Rehabilitation Hospital is a freestanding, not-for-profit, 102-licensed bed facility onChicago’s West and Southwest Side that offers comprehensive inpatient and outpatient programs foradults and children. Schwab is a proud member of Sinai Health System and the first fully licensed andaccredited rehabilitation hospital in the Midwest.Our therapists see patients through the entire continuum o...f care, from acute inpatient admissions atMount Sinai Hospital, to inpatient rehabilitation and outpatient therapy services at Schwab. We alsohave a hospital-based rehabilitation-focused short-term sub-acute unit at Schwab that provides boththerapy and nursing services with exceptional outcomes.Our rehabilitation team takes a holistic, interdisciplinary approach to address the physical, cognitiveand psychosocial needs of each patient. Each patient is assessed and provided with a personalized careplan tailored to help achieve maximal independence and function. Schwab offers seven treatmentgyms featuring private treatment rooms, a warm-water indoor therapy pool, and an award-winningtherapeutic roof top garden.